WELLINGTON ESTATES INC NPI 1144488099

NPI Information

NPI: 1144488099
Provider Name: WELLINGTON ESTATES INC

Doing Business As: ST CHARLES/ST JAMES PLACE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
101 WEBER CT
WELLINGTON, OH
ZIP 44090
Phone: (440) 647-2088
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WELLINGTON ESTATES INC is an intermediate care facility mentally retarded in Wellington, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. WELLINGTON ESTATES INC NPI is 1144488099. The provider is registered as an organization entity type.
The provider Is Doing Business As St Charles/st James Place.

The provider's business location address is:

101 WEBER CT
WELLINGTON, OH
ZIP 44090
Phone: (440) 647-2088

The provider's authorized official is Adelbert H Weber .
The authorized official title is Administrator and has the following contact phone number (440) 647-2088.

The enumeration date for this NPI number is 5/28/2008 and was last updated on 10/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0067898	OTHER	OHIO	OHIO MEDICAID PROVIDER NUMBER
2	12480	OTHER	OHIO	MR/DD LICENSE NO.
3	36-G658	OTHER	OHIO	CMS CERTIFICATION NUMBER
4	4710085	OTHER	OHIO	ODMR/DD FACILITY NO.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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